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Neutrophil extracellular traps in 
pathology: 
focus on heart diseases 
Bogomoletz Institute of Physiology, 
Kiev, Ukraine 
Department of General and 
Mollecular Pathophysiology 
Vasyl Nagibin, 
MD,PhD
Neutrophils 
Young polymorph 
nuclear (PMN) 
Microphagocytosis 
Enzyme exocytosis 
Necrosis 
Apoptosis 
Inflammation in tissues 
Normaly
• Neutrophil extracellular traps are 
formed as the result of specific type of 
programmed cell death called NETosis. 
• The term “ETosis” is more wide and 
used to determine this type of cell 
death in other granulocytes 
(eosinophils etc.)
The study of neutrophils: sensation after 
more the 100 years of investigation. 
Ilya Ilyich Mechnikov (1845-1916), 
Nobel prize in 1908. 
Arturo Zychlinsky 
Discovered NETs in 2004,
Components and triggers of NETs 
Extracellar trap components 
DNA 
Neutrophil Elastase 
Histones 
Myeloperoxidase 
Lactoferrin 
MMP9/Gelatinase B 
Cathepsin G 
Triggers of NETs formation 
Et cetera 
Рhorbol 12-myristate 13-acetate (PMA) 
Activator of PKC, proinflammatory agent 
LPS 
IFNg 
IL-8
NET in pathology 
- antibacterial defense 
- antiviral defense 
- anticancer defense 
- autoimmune diseases (systemic lupus erythematosus, 
rheumatism, psoriasis); 
- metastasis 
- secondary alteration at inflammation of different 
genesis 
myocardial infarction
Myocardial infarction and NET 
“There is an 
inflammation, lets 
go there” 
Proinflammatory 
Normal factors 
conditions 
Myocardial 
infarction 
Situation after myocardial 
infarction 
The goal of the work: 
Can NETs provoke secondary 
alteration at MI? 
How to regulate it?
Materials and Methods 
Isolation of neutrophils from rat blood,using Percoll gradient 
Cultivation of neutrophils in RPMI w/o Phenol red and serum for 3 
hours with or without (control) PMA (5 nM) 
Measurment of DNA released (PicoGreen, fluorescence measurment), 
and other NETs components (myeloperoxidase, immunohistochemistry) 
(A.Zychlinsky et al; JCB,Vol176,N2,2007) 
AND 
Isolation of rat neonatal cardiomyocytes using Collagenase II and 
Tripsin 
Cocultivation of rat neonatal cardiomyocytes with neutrophils 
Use of specific proteasome inhibitor (clasto-Lactacystin β-lactone) in 
dose of 5 nM
DNA concentration in media after cultivation of 
200 000 neutrophils without (control) or with 
PMA 
35 
30 
25 
20 
15 
10 
5 
0 
control PMA 
% of DNA released
Fluorescent microscopy of PMN using Hoechst dye 
control PMA 
PMA 
PMA was used for activatio9n of 
NETs formation in dose 5 nM for 3 
hours 
Hoechst was used for detection of 
DNA at fluorescent microscopy 
40x
Fluorescent microscopy of PMN using Hoechst dye 
control PMA 
cL 
PMA+cL 
and anti-Myeloperoxidase Ab
The percentage of neutrophils with NET 
under different conditions 
120 
100 
80 
60 
40 
20 
0 
Control 
PMA 
cL 
PMA+cL 
percentage of cells, % 
live 
foul of NET 
NET
Coculture of rat neonatal cardiomyocytes and PMN 
Hoehst 3334, propidium iodide 
40 x
The percentage of necrotic cardiomyocytes in coculture 
with PMN at different conditions of NETs formation (%) 
30 
25 
20 
15 
10 
5 
0 
контроль PMA лактацистин PMA+лактацистин
The percentage of necrotic cardiomyocytes in coculture 
with PMN at different conditions of NETs formation after 
anoxia (%) 
60 
50 
40 
30 
20 
10 
0 
контроль PMA лактацистин PMA+лактацистин
Thanks for some of my colleagues, 
participating in this project 
Prof. Moibenko O.O. 
Prof. Dosenko V.E. 
MD. PhD. Pashevin D.O. 
BD. Tumanovska L.V.

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NETs and cardiomyocytes

  • 1. Neutrophil extracellular traps in pathology: focus on heart diseases Bogomoletz Institute of Physiology, Kiev, Ukraine Department of General and Mollecular Pathophysiology Vasyl Nagibin, MD,PhD
  • 2. Neutrophils Young polymorph nuclear (PMN) Microphagocytosis Enzyme exocytosis Necrosis Apoptosis Inflammation in tissues Normaly
  • 3. • Neutrophil extracellular traps are formed as the result of specific type of programmed cell death called NETosis. • The term “ETosis” is more wide and used to determine this type of cell death in other granulocytes (eosinophils etc.)
  • 4. The study of neutrophils: sensation after more the 100 years of investigation. Ilya Ilyich Mechnikov (1845-1916), Nobel prize in 1908. Arturo Zychlinsky Discovered NETs in 2004,
  • 5. Components and triggers of NETs Extracellar trap components DNA Neutrophil Elastase Histones Myeloperoxidase Lactoferrin MMP9/Gelatinase B Cathepsin G Triggers of NETs formation Et cetera Рhorbol 12-myristate 13-acetate (PMA) Activator of PKC, proinflammatory agent LPS IFNg IL-8
  • 6. NET in pathology - antibacterial defense - antiviral defense - anticancer defense - autoimmune diseases (systemic lupus erythematosus, rheumatism, psoriasis); - metastasis - secondary alteration at inflammation of different genesis myocardial infarction
  • 7. Myocardial infarction and NET “There is an inflammation, lets go there” Proinflammatory Normal factors conditions Myocardial infarction Situation after myocardial infarction The goal of the work: Can NETs provoke secondary alteration at MI? How to regulate it?
  • 8. Materials and Methods Isolation of neutrophils from rat blood,using Percoll gradient Cultivation of neutrophils in RPMI w/o Phenol red and serum for 3 hours with or without (control) PMA (5 nM) Measurment of DNA released (PicoGreen, fluorescence measurment), and other NETs components (myeloperoxidase, immunohistochemistry) (A.Zychlinsky et al; JCB,Vol176,N2,2007) AND Isolation of rat neonatal cardiomyocytes using Collagenase II and Tripsin Cocultivation of rat neonatal cardiomyocytes with neutrophils Use of specific proteasome inhibitor (clasto-Lactacystin β-lactone) in dose of 5 nM
  • 9. DNA concentration in media after cultivation of 200 000 neutrophils without (control) or with PMA 35 30 25 20 15 10 5 0 control PMA % of DNA released
  • 10. Fluorescent microscopy of PMN using Hoechst dye control PMA PMA PMA was used for activatio9n of NETs formation in dose 5 nM for 3 hours Hoechst was used for detection of DNA at fluorescent microscopy 40x
  • 11. Fluorescent microscopy of PMN using Hoechst dye control PMA cL PMA+cL and anti-Myeloperoxidase Ab
  • 12. The percentage of neutrophils with NET under different conditions 120 100 80 60 40 20 0 Control PMA cL PMA+cL percentage of cells, % live foul of NET NET
  • 13. Coculture of rat neonatal cardiomyocytes and PMN Hoehst 3334, propidium iodide 40 x
  • 14. The percentage of necrotic cardiomyocytes in coculture with PMN at different conditions of NETs formation (%) 30 25 20 15 10 5 0 контроль PMA лактацистин PMA+лактацистин
  • 15. The percentage of necrotic cardiomyocytes in coculture with PMN at different conditions of NETs formation after anoxia (%) 60 50 40 30 20 10 0 контроль PMA лактацистин PMA+лактацистин
  • 16. Thanks for some of my colleagues, participating in this project Prof. Moibenko O.O. Prof. Dosenko V.E. MD. PhD. Pashevin D.O. BD. Tumanovska L.V.